KURL AUCTION 2012
Print this page and bring with you when you pick up your items.

PLEASE WRITE OR PRINT PLAINLY:

PHONE NO:

   

NAME:

   

STREET:

   

CITY:

   

STATE & ZIP:

   

ITEMS PURCHASED:

QUANTITY

ITEM & NAME

COST/EACH

TOTAL AMT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY:

TOTAL:

  

PAID: CASH_______ CHECK_______

Office Personnel's Initials __________